期刊
CLINICAL BIOMECHANICS
卷 23, 期 3, 页码 349-356出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.clinbiomech.2007.10.004
关键词
gait; neuropathy; variability
资金
- NIA NIH HHS [K23 AG 00989, K23 AG000989-05, P60 AG 08808, K23 AG000989-01, K23 AG000989-04, P60 AG008808-120006, P60 AG008808-140006, P60 AG008808, P60 AG008808-110006, K23 AG000989-02, K23 AG000989, P60 AG008808-12S10006, K23 AG000989-03, P60 AG008808-130006] Funding Source: Medline
- EPSRC [EP/D079640/1] Funding Source: UKRI
- Engineering and Physical Sciences Research Council [EP/D079640/1] Funding Source: researchfish
Background. Increased step time variability, particularly on an irregular surface, has been associated with impaired mobility function and a variety of diseases. However the biomechanical necessity, or advantage, of increasing step time variability has not been identified. Methods. We performed a secondary analysis of gait data previously obtained on 42 subjects age 50 or older with neuropathy who walked on smooth and irregular surfaces, the latter with and without three interventions (cane, ankle orthosis and wall touch) that provided frontal plane support. Findings. Step time variability on smooth and irregular surfaces was most strongly associated with reduction in step length on the irregular surface as compared to the smooth. More specifically, the greater the decrease in step length on the irregular surface the greater the step time variability on both surfaces and the greater the increase in step time variability on the irregular surface. The increase in step length on the irregular surface afforded by the interventions coincided with a decrease in step time variability. The subjects did not simultaneously demonstrate increased step time variability and step width range on the irregular surface. Interpretation. Among adults age 50 and older with neuropathy, increased step time variability is strongly associated with the need to shorten step length on an irregular surface. Therefore step time variability may be a marker for instability during single limb stance which necessitates rapidly placed, shortened recovery steps. Such steps may also offer the advantage of reducing extremes in lateral foot placement of the swing limb, and so assist in maintaining frontal plane stability. (C) 2007 Elsevier Ltd. All rights reserved.
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